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Deactivated NPI 1922357094 Deactivated / Inactive NPI Female Practitioner

Mary Lou Lesperance , LPN

Licensed Practical Nurse • Malone, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Lesperance has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2012
NPI Deactivation Date November 29, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Mary Lesperance, LPN was a registered Licensed Practical Nurse practicing in Malone, NY. Throughout an active medical career spanning 11 years, Mary Lesperance provided care at the practice location at 125 FINNEY BLVD until profile deactivation on 2023-11-29.

Practice Location & Contact Primary Location

Practice Address

125 Finney Blvd

Malone, NY 129531067

Telephone 5184818160
Fax 5184818161

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Malone, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Malone, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-15
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 265294

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Practical Nurse
265294 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ian Frederick , RN

Registered Nurse

NPI 1023807617

Registered Nurse

Nicholas Harvey

Peer Specialist

NPI 1033760087
Ava Deangelis

Case Manager/Care Coordinator

NPI 1033966189
Dawn Vincent , MASTERS DEGREE

Community/Behavioral Health

NPI 1043720857

MASTERSDEGREE

Tamarah Majette

Social Worker

NPI 1043876469
Aaryuj Trehan

Case Manager/Care Coordinator

NPI 1053166926

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location December 15, 2023

Registered at 125 FINNEY BLVD, MALONE, NY 129531067 (Tel: 5184818160)

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Updated Business Mailing Address December 15, 2023

Registered at 125 FINNEY BLVD, MALONE, NY 129531067 (Tel: 5184818160)

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Provider Name / Credentials Updated December 15, 2023

Recorded as MARY LESPERANCE, LPN

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NPI Profile Reactivated December 05, 2023

Record officially reactivated for active practice on December 05, 2023

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NPI Profile Deactivated November 29, 2023

Record deactivated on November 29, 2023

NPI Profile Active September 05, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 05, 2012

Registered at 42 RIVER ST, CHATEAUGAY, NY 129202002 (Tel: 5184976611)

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Updated Business Mailing Address September 05, 2012

Registered at 42 RIVER ST, CHATEAUGAY, NY 129202002 (Tel: 5184976611)

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Provider Name / Credentials Updated September 05, 2012

Recorded as MARY ROBIDEAU, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2012

Licensed Practical Nurse (License #265294 in NY)

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Initial NPI Registration & Enumeration September 05, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922357094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2012
Last Update: December 15, 2023
Deactivation Date: November 29, 2023
Sole Proprietor: Yes

Mailing Address

125 Finney Blvd

Malone, NY 129531067

Phone: 5184818160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.